Graham, Wade Alan
Graham, Wade Alan is an individual health care provider with primary practice located at 1400 E Ridge Rd Ste 3 , Mcallen TX 78503-1536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Graham, Wade Alan can be contacted via phone (956) 429-4900.Contact Information
Primary practice address
1400 E Ridge Rd Ste 3
Mcallen TX 78503-1536
Phone: (956) 429-4900
Fax: (956) 429-4901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | K2910 | Texas |
Profile Details
| NPI number | 1316938434 |
|---|---|
| LBN Legal business name | Graham, Wade Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316938434 | NPPES |
| Texas | MEDICAID | 046733404 | |
| Texas | Other | P00645448 |
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